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Individual

DR. PETER THOMAS KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 356-9048
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3356
WI
103G00000X
Clinical Neuropsychologist
LP5974
MN

Other

Enumeration date
03/11/2016
Last updated
02/16/2024
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